Northeast Orthopedics and Sports Medicine PLLC
NPI 1073937579 · Sports Medicine (Orthopaedic Surgery) Physician · Nanuet, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Orthopedics and Sports Medicine PLLC is a Sports Medicine (Orthopaedic Surgery) Physician organization in Nanuet, NY (NPI 1073937579).
Provider details
- NPI number
- 1073937579
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jordan Simon, Mbr(845) 262-5313
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-02-05
- Last updated
- 2016-12-16
Frequently asked questions
- What is Northeast Orthopedics and Sports Medicine PLLC's NPI number?
- Northeast Orthopedics and Sports Medicine PLLC's National Provider Identifier (NPI) is 1073937579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Orthopedics and Sports Medicine PLLC?
- Northeast Orthopedics and Sports Medicine PLLC is classified in the NPPES registry as Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Northeast Orthopedics and Sports Medicine PLLC located?
- Northeast Orthopedics and Sports Medicine PLLC's practice location on file with NPPES is 507 Airport Executive Park, Nanuet, NY 10954-5238.
- What is Northeast Orthopedics and Sports Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Northeast Orthopedics and Sports Medicine PLLC is (845) 262-5313.
- Does Northeast Orthopedics and Sports Medicine PLLC accept Medicare?
- Northeast Orthopedics and Sports Medicine PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northeast Orthopedics and Sports Medicine PLLC?
- The authorized official listed on Northeast Orthopedics and Sports Medicine PLLC's NPPES record is Jordan Simon, Mbr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Orthopedics and Sports Medicine PLLC's NPI active?
- Yes — Northeast Orthopedics and Sports Medicine PLLC's NPI (1073937579) is active in the NPPES registry as of the last update on 2016-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.